Pain management after open liver resection: Procedure-Specific Postoperative Pain Management (PROSPECT) recommendations.
Audrey DieuPhilippe HuynenPatricia Lavand'hommeHélène BeloeilStephan M FreysEsther M Pogatzki-ZahnGirish P JoshiMarc Van de Veldenull nullPublished in: Regional anesthesia and pain medicine (2021)
Based on the results of this review, we suggest an analgesic strategy for open liver resection, including acetaminophen and non-steroidal anti-inflammatory drugs, combined with thoracic epidural analgesia or bilateral oblique subcostal TAP blocks. Systemic opioids should be considered as rescue analgesics. Further high-quality RCTs are needed to confirm and clarify the efficacy of the recommended analgesic regimen in the context of an enhanced recovery program.